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Ten Broeck Commons

One Commons Drive, Lake Katrine, NY 12449 · For profit - Individual · 258 certified beds · (845) 336-6666 Medicare & Medicaid certified

Call the home — (845) 336-6666 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 16 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (22% vs 45% nationally) — better care continuity
Worth asking about
  • a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its payroll-based staffing rating is low (2/5)
  • about 18% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1996 Route 9W · (845) 336-0108 · Call to confirm hours
Pharmacy
601 Frank Sottile Blvd · (845) 336-7460 · Call to confirm hours
Grocery
1560 Route 9W · (845) 336-6300 · Call to confirm hours
Park
Catskill Mountains Woodstock Ny · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.8%14.1%15.4%better
Long-stay residents who lose too much weight2.8%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.3%0.5%0.9%better
Long-stay residents with a urinary tract infection1.3%1.3%2.0%better
Long-stay residents with depressive symptoms26.0%19.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury2.7%3.1%3.3%better
Long-stay residents whose ability to walk worsened8.3%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication12.9%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine95.9%95.3%95.3%typical
Long-stay residents with pressure ulcers3.3%6.5%4.7%better
Long-stay residents with worsening bladder/bowel control26.6%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table7.3%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.6%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine87.4%78.8%79.4%typical
Short-stay residents rehospitalized after admission23.7%20.6%22.6%typical
Short-stay residents with an outpatient ER visit7.6%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.811.701.67typical
Long-stay outpatient ER visits per 1,000 resident days0.951.361.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

56.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 588 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.8%U.S. median 51.5%
Got home and stayed home
8.5%U.S. median 10.7%
Went back to hospital
77.1%U.S. median 56.6%
Met the expected recovery
0.32U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 77.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 336 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF56.8%CMS range 52.1–60.751.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.5%CMS range 6.6–11.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge77.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge70.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge75.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified87.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting97.2%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.4%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.8%CMS range 5.5–10.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.361.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.51
RN hours/ resident / day
0.82
LPN hours/ resident / day
1.79
Aide hours/ resident / day
3.12
Total nurse hours/ resident / day
0.21
RN hoursweekends
22.0%
Total nursing turnover
20.6%
RN turnover

How full it usually is: this home is certified for 258 beds and averages 246.1 residents a day — about 95% occupied, or roughly 12 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.12 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.79 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.66 hrs/resident/day on weekends vs 3.30 on weekdays — 19% thinner on weekends. RN hours go from 0.63 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 22% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

6
deficiencies at the latest standard inspection (2026-01-12)
4
at the previous standard inspection (2023-09-20)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

  • Potential for harm · F2026-01-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety. Specifically, 1) unlabeled and undated foods were stored in the kitchen refrigerator and unit pantry, and eight (8) cups of pre poured undated almond milk at the bedside of Resident #160; 2) expired foods were stored in the dry pantry, walk in cooler, and reach-in refrigerator; 3) staff were observed not wearing hair and beard restraints while in the kitchen; 4) ice packs were observed in the Catskill unit pantry freezer; and 5) staff were observed not changing gloves between tasks.The findings include: The policy last revised 10/2025 titled Storage of Non-Perishable Foods documented, Dry goods (grains) shall be stored for a period not to exceed three months. All foods must be labeled and dated to ensure foods are being used in a proper timeframe, and any unopened food item will be discarded by the manufacturer labeled expiration date.The policy dated 2025 titled Storage of Perishable Goods documented, Left-over food items…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-01-12 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    F880 AMBased on observation, record review and interview conducted during the recertification survey, the facility did not ensure infection control prevention practices were maintained to prevent the development and transmission of communicable diseases and infection for all residents. Specifically, the annual water sampling report for the year 2025 was missing, the annual facility assessment for legionella and required components were missing and not provided at time of survey. The findings are: During a review of facility records on 01/05/2026 at 10:00 AM, a water temperature log documented chlorine was added. A vendor service report dated 11/2025 had a sticker attached that documented the water report was due 12/2024. A lab report for legionella testing was dated 11/27/2024. When requested, the Maintenance Director was unable to provide a legionella lab report for 2025, a Water Management Plan and the annual facility assessment/ Department of Health form for Environmental Assessment of Water Systems in Healthcare Settings.The facility provided a policy and procedure for Water…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-12 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review conducted during the recertification survey from 1/5/2026-1/22/2026 the facility did not ensure a resident was treated with respect and dignity and cared for in a manner that promoted maintenance or enhancement of their quality of life for 1 of 1 resident (Resident #43) reviewed for Dignity. Specifically, Resident # 43 was observed out of bed wearing socks that were labeled with the resident's name in front of the sock clearly visible to other residents, visitors and staff. The findings include:Resident #43 had diagnoses including Diabetes Mellitus, Cardiomyopathy (enlarged heart, makes it harder to pump blood) and an Immunodeficiency condition.The Facility Policy titled Quality of Life dated 2025 documented residents shall always be treated with dignity and respect. The residents will be assisted in maintaining and enhancing his self-esteem and self-worth.The admission Minimum Data Set (assessment) dated 11/26/2025, documented Resident #43 had moderately impaired cognition, could usually understand others and could make himself…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-12 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review during the recertification survey from 01/05/2026-01/12/2026, the facility did not ensure that the Comprehensive Care Plan was revised to reflect changes and/or new interventions for one (1) of six (6) residents (Resident #71) reviewed for Accidents, and one (1) of three (3) residents (Resident #139) reviewed for Activities. Specifically, 1) Resident #71 had a behavior of wandering, entering other residents' rooms and laying in other residents' beds, and the behavior care plan did not reflect this behavior or interventions for the behavior; 2) Resident #139's care plan had not been revised to reflect their current activities they participated in.The findings included:The facility policy Care Planning last reviewed 02/2025 documented that the comprehensive care plan includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident. Assessments of residents are ongoing, and care…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview conducted during a recertification survey, the facility did not ensure that care was provided to prevent pressure ulcers for 1 of 5 residents (#9) reviewed for pressure ulcers. Specifically, Resident #9 had a physician order for offloading gel boots, to be worn at all times, and was observed without the gel boots. The findings include: Resident #9 had diagnoses including Cerebral Infarction, Type 2 diabetes mellitus, hemiplegia. The Quarterly Minimum Data Set, dated [DATE] documented the resident's cognition was intact, the resident required substantial to max assist with all activities of daily living. The resident was at risk for pressure ulcers and pressure relieving devices for both the chair and bed were used. A Braden Scale assessment completed on 12/15/2025 documented a score of 16 indicating the resident was at risk for pressure injuries. The Care Plan titled At Risk for Skin Breakdown dated 8/27/2025, revised 12/9/2025, documented interventions included…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-12 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview during the recertification survey conducted 01/05/2026 through 01/12/2026, the facility did not ensure proper disposal of garbage and refuse. Specifically, the garbage/recycle dumpster was left open and there were cardboard boxes spilling over the top and debris on the ground around the dumpster.The findings are:The facility policy titled Disposal of Refuse reviewed 12/2025 documented outside dumpsters or compactors provided by waste management services will be kept closed and free of surrounding debris.During an observation of the garbage area on 01/05/2026 at 11:39 AM with the Food Service Director, the recycle dumpster lid was open with cardboard boxes spilling over the top; pieces of cardboard box; used gloves; plastic packing material; and plastic drink lids laying on the ground surrounding the dumpster.During an interview with the Food Service Director on 01/05/2026 at 11:39 AM, they stated the garbage and recycle is picked up once weekly. They do not think the lid to the recycle dumpster is ever closed, and stated, it is too…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-09-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the abbreviated survey (NY00371242) the facility did not ensure that the resident environment was free of accident hazards and/or that each resident received adequate supervision to prevent accidents for one (1) of three (3) residents reviewed for accidents. Specifically, on 02/04/2025 Resident #1 who was severely cognitively impaired and required a two person assist for transfers via mechanical lift as per their care plan, was transferred by Certified Nurse Aide #1 from chair to bed alone and unassisted. Resident #1 was found with flaccidity and deformity to right hip/leg and was ordered by the Nurse Practitioner to be transferred to the hospital. According to report received by the facility from the hospital, Resident #1 sustained a right spiral hip fracture requiring surgical intervention. Certified Nurse Aide #1 admitted transferring Resident #1 via mechanical lift without assistance.The Findings are: The policy titled Mechanical Lift revised 2025,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-20 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews during a recertification survey, it was determined the facility did not ensure all residents had the right to a dignified existence for 1 of 2 residents (Residents #116) reviewed for personal property. Specifically, the facility did not ensure Resident #116 received a dignified existence as they were transferred to the facility from an assisted living home without their belongings, and actions were not taken to ensure the resident was able to receive their personal property. Findings include: Resident #116 was admitted to facility with diagnoses including peripheral vascular disease, diabetes, cerebral vascular attack, and acquired absence of left leg above knee. The quarterly Minimum Data Set (MDS, an assessment tool) dated 7/21/23, documented Resident #116 was cognitively intact. A psychosocial note dated 6/23/22 documented the social worker and the resident contacted the assisted living facility and spoke with the Administrator. The Administrator believed the resident's belongings were still in storage and would follow up with…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review during the recertification survey completed on 9/20/23, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (Resident #226) of six residents reviewed for skin care. Specifically, Resident #226 received active ice temporary pain relief cream to the perineal area by a certified nurse aide (CNA). There was no order for this cream; the treatment cart was not locked, and were no documented evidence that the resident was assessed by a registered nurse (RN) or Resident #226's physician was notified. Findings include: The facility policy Certified Nursing Assistant undated documented CNAs are not allowed to perform certain tasks that are considered invasive, dangerous, or neglectful. Supplies within the CNAs scope of practice must be retrieved from the locked treatment cart by a licensed nurse. Only licensed nurses can assess and remove any treatment supplies from the treatment cart. Resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-20 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews conducted during the recertification and abbreviated surveys (NY00313960), the facility did not ensure 1 of 5 residents (Residents #450) reviewed for pressure ulcers received care and services to promote healing and to prevent new pressure ulcers from developing. Specifically, Resident #450 had a pressure ulcer worsen, there was no documented turning and positioning and the medical provider was not notified timely of a change in condition. Findings include: Resident #450 was admitted to the facility on [DATE] for short term rehabilitation with diagnoses including cerebrovascular accident (CVA, stroke), urinary tract infection (UTI), and diabetes (unstable blood sugar). The admission Minimum Data Set (MDS, assessment tool) dated 8/22/22, documented Resident #450's cognition was intact and the resident required extensive assistance of 2 staff for transfers, bed mobility and toilet use, and extensive assistance of 1 staff for personal hygiene and dressing. The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 6 citations
  • Potential for harm · Dcited before2023-09-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview during the recertification survey and an abbreviated survey (# NY00311693, NY00321960) completed on 9/21/2023, the facility did not ensure that 2 of 3 residents (Resident #84 and #354) reviewed for accidents, received adequate supervision and assistance to prevent accidents. Specifically Resident #84 was not transferred as care planned and sustained a fracture of the right leg. Resident # 354 who has a history of behavior hit resident #135 with a wet floor sign on the head that resulted in a laceration to his head. The Findings are: 1. Resident # 84 had diagnoses including a fracture of the right femur, dementia, and Major Depressive Disorder. The Quarterly MDS (Minimum Data Set, a resident assessment and screening tool) dated 1/18/23 revealed the resident's cognition was severely impaired and no behavior problems. The resident required total assistance of 2 staff for bed mobility and transfers. The Policy and Procedure titled Accidents revised 2023 documented the facility to provide accurate timely examination and documentation.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-01-08 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview conducted during the recertification survey, the facility did not ensure that each resident's right to privacy and confidentiality of personal health information was maintained. Specifically, positioning profiles (photographs of residents wearing assistive / positioning devices) were observed on closet doors in resident rooms. This was evident for 3 of 3 residents (Resident #5, #31 and #109) reviewed for privacy. The findings are: According to the facility's policy on resident rights dated October 2017, residents have rights to privacy and confidentiality of personal and clinical records. Observations conducted during the initial screening process on 01/03/20 revealed positioning profiles displayed on the outside of closet doors for Resident #5, Resident #109 and Resident #31, all residing on the [NAME] Unit. These photographs were visible to anyone entering these rooms. In an interview with a certified nursing assistant (CNA) #1 on 01/09/2020 at 11:12 AM it was revealed that…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-01-08 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview conducted during the most recent recertification survey and an abbreviated survey (# NY00247956), the facility did not: A. Implement a person centered care plan for 1 of 7 residents (#49) reviewed for accidents, 1 of 4 residents (#86) reviewed for positioning and 1 of 5 residents reviewed for nutrition (#199). Specifically, 1.) hip protectors were not applied as per the care plan for Resident #49; 2.) wheelchair leg rests were not applied as per the care plan for Resident #86; and 3) weekly weights were not done for the first 4 weeks after admission for Resident #199. B. Develop a care plan for 2 of 2 residents (#49 and #48) reviewed for incontinence. Specifically, a care plan with measureable goals and timetable was not developed to address increased bladder incontinence for Resident #49; and a care plan to address bowel incontinence was not developed to address bowel incontinence for Resident #48. The findings include, but are not limited to the following: 1.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2020-01-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure that residents were provided adequate supervision to prevent resident to resident alteration that could possibly result in injury. Specifically, a cognitively impaired resident (Resident #106) threatened to harm another resident (Resident #23) and this threat was not promptly investigated and measures were not put in place promptly to prevent reoccurrence. The findings are: Resident #23 was a [AGE] year-old, non-ambulatory female with diagnoses of Cerebrovascular Accident and Hemiplegia. The resident was admitted to the facility on [DATE] for rehabilitation services. On 1/6/20 at 10:56 AM Resident #23 informed the surveyor that a few days prior a confused resident residing close to her room came into her room and threatened to kill her at about 10:00 PM. This made her very upset. The resident (later identified as Resident #106) entered her room on another day around the same time. Immediately following the interview with Resident #23 a Licensed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-01-08 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review conducted during the most recent recertification survey, the facility did not ensure that 2 of 2 residents reviewed for bowel and/or bladder incontinence were provided the necessary treatment or services to restore continence to the extent possible. Specifically: 1.) For Resident #48, no person-centered goals and interventions were put in place to address bowel incontinence and no measures addressing voiding patterns, use of diuretic and supplies to promote urinary continence were identified in the resident's plan of care to ensure implementation across all shifts. 2.) For Resident #49, specific measures were not put in place to attempt to decrease the frequency of urinary incontinence. The findings are: 1. Resident #48 is a 97- year-old male with diagnoses of Heart Failure, Arthritis and Benign Prostatic Hypertrophy (BPH). The annual Minimum Data Set (MDS, an assessment instrument) dated 5/3/19 showed that the resident had no significant cognitive impairment, had hearing impairment with no hearing aid, had unclear speech, was occasionally…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-01-08 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review conducted during the recertification survey, it was determined that for 3 of 7 residents (Residents #166, #199 and #216) reviewed for Nutrition and Hydration the facility did not ensure that each resident was provided the necessary care to either maintain, to the extent possible, acceptable body weight or proper hydration. Specifically, for Resident #199 there was a lack of weekly weight monitoring for the first 4 weeks following admission as indicated in the facility's weight policy and the plan of care; and for Residents #166 and #216, there was a lack of adequate monitoring of daily fluid intake to assess the adequacy of daily fluid consumption. The findings are: 1. Resident #199 was admitted to the facility on [DATE] with diagnoses that included Coronary Artery Disease, Hypertension, Fracture of unspecified Lumbar Vertebra, Fracture of Second Cervical Vertebra, and Depression. The admission Minimum Data Set (MDS- an assessment tool) completed on 12/27/2019…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
KINGSTON NH HOLDING LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 10/01/2018
GETZ, MORDECHAIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 10/01/2018
GOLD, AVROMIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 10/01/2018
KLEIN, ESTHERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30%since 10/01/2018
MENDLOWITS, EUGENEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST5%since 10/01/2018
SCHLESINGER, ERNESTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST40%since 10/01/2018
PEREZ, KATHRYNIndividualW-2 MANAGING EMPLOYEEsince 10/01/2018

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$41.3M
Net patient revenuemost recent cost report
+17.4%
Operating marginrevenue minus expenses
$6.0M
Related-party expense18% of expenses
Who pays — share of resident-days
Medicaid 61%Medicare 24%Other / private 15%

This home reported $6.0M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$377per resident / day
operating cost
$11,466per month
≈ monthly operating cost
$457per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NY

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.

Typical monthly cost in New York
$15,528/mo
Nursing home (semi-private)
$16,729/mo
Nursing home (private)
$7,110/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335765. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-12, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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